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Dr K K Aggarwal

Should there be a mourning room in the hospital?

By Dr K K Aggarwal
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In a survey conducted by Heart Care Foundation of India of 400 people from all walks of life, 90% of the people wanted that wishes of the dying person and dead body should be respected in the hospital setting. They said that doctors should be more compassionate and emphatic at the time of declaring a patient dead. Unless people are expecting a death, death usually comes as a shock to the family members. It is expected that the relations may be in agony, pain and even anger. Every hospital should have a mourning room where the relatives should be made to sit, counselled and death declared. After the death is declared, the treating doctors, nurses and hospital staff must sit with the patient’s relatives, counsel them, tell them about the sequence of events before death and also counsel them about how to handle the dead body. People also want to know the cause of death so that similar thing may not happen to another person in the family. They also want to know if the body is infectious or not and what rituals to be avoided if the body is infectious. They also like to know about how to preserve the dead body till cremation. They may also like to know whether a postmortem is required to know exact cause of death, which can help future family members of the family.

Important differences between women and men in the presentation of heart disease make it more difficult to establish a diagnosis in women, said Padma Shri and Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India. He was addressing a press conference as a curtain raiser to the 5th Dil Ka Darbar to be held on Sunday, 29th September. The event is being organized by the Heart Care Foundation of India at Constitution Club of India in association with Ayush, Department of Health, Government of NCTDelhi, LIC, MTNL, Central Bank ofIndia and GAIL.

Special Guests of Honour were Padma Shri & Rajiv Gandhi Khel Ratna Awardee Yogeshwar Dutt, a Bronze Medalist at the 2012 Summer Olympics in the  60kg Freestyle wrestling, Dronacharya Awardee Yashbir Singh (Wrestling coach) and Arjuna Awardee Dharmendra Dalal, a Bronze Medalist in in 120 Kg Greco-Roman style wrestling at the 2010 Commonwealth Games.

Dr KK Aggarwal said:

1.  Women generally present 10 years later than men and with greater riskfactor burden.

2.  Women are less likely than men to have typical angina.

3. Women in the emergency department with new onset of chest pain are approached and diagnosed less aggressively than man.

4.  Women are more likely to present initially with chest pain than a more clearly defined event such as heart attack.

5.  Symptoms of heart attack in women differ from those in men.

6.Many cases of heart attack in women are unrecognized.

7.  In women, treadmill exercise has a higher false positive rate.

8. Small vessel disease is more common in women than in men.

9.  Established risk factors in women are: Presence of history of heart
blockages; age over 55 years; high LDL (bad) or low HDL (good)
cholesterol, diabetes, smoking, high blood pressure, peripheral artery disease or family history of heart disease.

10.  Risk factors, which are more potent in women than in men are: Smoking is associated  with 50% of all coronary events in women; diabetes confers more prognostic information in women than in men.

 

Prevention in Women

For all Women

  • Moderate intensity physical activity for at least 30 minutes and for 60 to
    90 minutes for weight management on most days of the week.
  • Avoidance and cessation of cigarette smoking and passive smoking
  • Keep waist circumference less than 35 inches.
  • Take a heart-friendly diet.
  • Presence of high triglyceride levels.  One should add Omega 3 fatty acids to diet.
  • Control cholesterol level, high blood pressure and diabetes.
  • Women who smoke should avoid oral contraceptive pills.
  • Aspirin 80 mg in more than 65 years of age should be added
  • Treat underlying depression.

 Women at high risk

  • Aspirin 75 to 150 mg, as prevention
  • Control of blood pressure.
  • No use of anti oxidant vitamin supplement.
  • No use of folic acid support.
  • No Hormone Replacement Therapy.
  • Lowering of LDL cholesterol of less than 80.

 

Co-addressing the Press Conference, Mr GP Sinha GM (Mktg) MTNL said that the best gift we can give to our wives, mothers and sisters is an annual heart check up.  Dr NK Yadav, MHO, South Delhi, Medical Corporation; Dr. PK Sharma, MOH, NDMC; Dr NV Kamat, Director, Health Services, Delhi; and Sr representatives from Central Bank of India in a joint statement said that our concern in women should shift from breast cancer to heart awareness as the lifestyle adopted to prevent heart disease would also prevent breast cancer.

Police learns CPR 10

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Inaugurating the Second CPR 10 Training Programme for South Delhi Police Personnel, Mr. B S Jaiswal, DCP South said that for the sake of preserving evidence, the Police personnel should not forget to provide medical first aid or to revive a dead person. Providing first aid is the first priority at any cost.

Conducting a workshop on CPR 10, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that in the next three months all the police personnel from South District would be trained in cardiac CPR.

By learning the technique of CPR 10, one can revive victims of sudden death within 10 minutes. Sudden death may include heart attack, electrocution deaths, hypothermia deaths, deaths due to choking, drowning deaths and other deaths, which occur suddenly without notice.

Dr. Aggarwal said that it is unfortunate that in our city that medical personnel cannot reach the victim early, therefore, we have to depend on police personnel and so we need to train them so that at least they can provide first aid including cardiac first aid to the victims.

In the second session, over 600 police personnel were trained. Training will continue till training of every police personnel in South Delhi is complete.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 59455 people since 1st November 2012.

The CPR 10 Mantra is – “Within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute.”

While people are concerned about cancer, which still remains a controversial issue, there are other future health problems caused by use of mobile phones especially smart phones. Prolonged use of mobile phone can cause neck pain, dry eyes, computer vision syndrome, anxiety (ringxiety), phobias (nomophobia) and insomnia.

Addressing a press conference on the occasion of World Environment Day, Padma Shri & Dr. BC Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India; Dr. Narendra Saini  Secretary General Indian Medical Association; Dr. Sanjay Gupta, Senior Orthopedic Surgeon at Moolchand Medcity; Dr. J Nagpal Sr. Psychiatrist and Padma Shri Awardee and Dr. A K Grover Sr Eye Specialist Ganga Ram Hospital said that in India, the hazards of radiation are much more than in the West because of active and passive mobile phone radiations and also because of combined use of other radiations such as from computers, microwaves and frequent x-ray done by doctors.

Fifty crore people in the world use mobile phones. These phones release low power radio frequency waves, which transmit radio frequency radiations from 500-800 mGH through the antenna placed near the head.

Heart Care Foundation of India conducted a survey, which included 25 nurses of one hospital, 25 office staff of one public company, 25 media desk executives of one electronic TV media house and 87 family physicians from all across Delhi. The observations were as follows:

 Use of Smart phones

 

  • Ten percent office staff, 20% nurses and 60% media house desk executives and 31% family physicians used smart phones. Amongst family physicians, 11.5% spent < 30 minutes on their smart phone daily; 7% 30-60 minutes; 3% 60-90 minutes; 2% 90-120 minutes; 4% 120-240 minutes and 9% > 240 minutes.
  • 80 % office staff, 80% nurses, 80% media desk executives and 41% family physicians are on Face book. Amongst family physicians, 26% used it for less than 15 minutes; 7% 15-30 minutes; 9% between 30-60 minutes; 2% between 60-90 minutes and 5% more than 120 minutes. 25% family physicians connected to Face book from their phones.
  • 20 % office staff, 30% nurses, 70% media desk executives and 25% family physicians have a Twitter account. Among family physicians, only 50% used it regularly and 25% used it daily. Of the daily users, 90% used it for less than 5 minutes.
  • Only 7% family physicians blogged.
  • Thirty-six percent family physicians retrieved emails from their phone.

 Smart phone addiction, a new disease

  • On an average, nurses recharged their phone battery twice in a day; media desk executives and doctors did it three times in a day.
  • Sixty-one percent doctors find someone to call as soon as they leave their office or as soon as their flight lands.
  • Seventy percent family physicians keep their cell phone with them constantly. Even at home they keep it in their pocket or right next to them.
  • 43% of them fiddle with their cell phone whenever they have downtime (even when they are not on the phone or they only have a very few minutes to kill).
  • 33% of them always feel anxious about their cell phone, especially when they are unable to use it (meeting, plane, class, church)
  • 28% of them are uncomfortable and fidgety when they are not using their cell phone.
  • 7% family physicians feel the need to talk on the phone almost all the time.
  • Sixty-three percent of family physicians sleep with their cell phone under the pillow or on a night stand right next to the bed.  This number is 20-50% for nurses, office staff and media desk executives.

Nomophobia

Sixty percent of youth aged 20-30 years fear losing their mobile phone, called nomophobia; 43% of family physicians suffer from nomophobia.

Cell phone anxiety

  • 43% family physicians experienced high levels of anxiety, stress, or insecurity, whenever they were without their cell phone.
  • 50% of the mobile phone users experienced ringxiety.
  • 25% family physicians sometimes believed their phone was ringing, but when they answered it or listened longer they found that it wasn’t ringing at all (phantom ringing).
  • 15% family physicians reported feeling stressed when they received their cell phone bill and then experienced shock once they actually saw the amount.
  • 22% family physicians reported being unable to resist special offers on the latest cell phone models.

Severity of anxiety

  • The mean social media addiction score (calculation based on 17 dependence questions) for doctors was 5.5. (Any score of more than 8 requires social media curfew and social media holidays along with counseling).
  • Only 6% family physicians reported feeling no anxiety at all.
  • Mild anxiety (score < 4) was present in 43% family physicians (average score 3)
  • Moderate anxiety (score 5-7) was present in 25% of family physicians (average score 6).
  • 26% family physicians had a score of > 8 indicating presence of social media addiction (average score 10).
  • The mean social media addiction score (calculation based on 17 dependence questions) was 6.3 for office staff, 9 for desk executives and 8 for nurses.

Mobile phone as a cause of conflict

  • 26% family physicians had been teased because they had their cell phone even while working out or doing some other activity.
  • 48% doctors said that their personal cell phone use had increased significantly.
  • Face book was the cause of conflict in 20 % of situations for a family conflict (second to TV).
  • 23% family physicians experienced problems at work because of their cell phone use.
  • 18% family physicians had had problems with family or friends because of the cell phone use.

 Mobile phone as a cause of disturbed sleep

  • On an average, office staff spent 20 minutes, nurses 30 minutes and media house desk executives 60 minutes surfing on their smart phones on the bed.
  • 26% family physicians were disturbed by a smart phone alert in the night; 7% reported getting disturbed daily (average 3 times).
  • Only 40% doctors and 30% of nurses, hospital staff and media executives would stop using their mobile phones 30 minutes before sleep.
  • 50% mobile phone users woke up in the night because of smart phone alerts.
  • 40% people had disturbed sleep pattern because of smart phone use.

Mobile phone use while driving

Using or talking on a mobile phone while driving is more dangerous than driving under the influence of alcohol. Using mobile phone while driving reduces reaction time by 30% compared to people under the influence of alcohol and 50% compared to persons without alcohol. The reaction time under the influence of mobile phone is half a second longer. This amounts to a car traveling with a speed of 70 miles /hour to cover a distance of 46 feet before stopping.

36% doctors said that they receive emergency calls on mobile when they are driving. When they stop and answer, 20% of the calls are marketing calls enough to get frustrated and 30% of the calls are emergency calls from their patients.

 Mobile phone as a cause of day time distraction

  • 32% family physicians reported being distracted by a smart phone alert during a meeting.
  • 30% of non doctors said that they got distracted in a meeting because of an SMS or email alert.

 Mobile phone breaks and holidays

 Only 48% family physicians took cell phone breaks while at work.

Use of mobile phone in the Operation Theatre

In a US survey of cardiopulmonary bypass technicians published in the journal Perfusion, 50% used a smart phone during surgery, 43% in a cardiac OT, 50% talked on cell phone and 50% texted on their phones. In cardiac OT, 20% perfusionists accessed emails, 15% used internet and 3% checked or posted on social networking sites during surgery.

A similar survey conducted by Heart Care Foundation of India in one of the corporate hospital in Delhi found:

  • Ninety percent of nurses and 50% of OT technicians also reported taking calls during the surgery.
  • Ten percent doctors, 20% nurses and 50% technicians would check their messages (SMS) even during surgery.
  • No doctor or nurse tweeted during the surgery, but 50% of the technicians who have a Twitter account said that they do use Twitter and tweet during the surgery.
  • None of the doctors, nurses or technicians used their emails or accessed their Face book accounts during surgery.
  • Doctors do talk and attend to their mobile phones while surgery is going on and communicate through a nurse or a junior who works as a bridge between the surgeon and the caller.

The reason given for picking up the phone was to rule out emergency calls, but the reason for use of SMS or Twitter was boredom.

Computer vision syndrome

Computer vision syndrome is a temporary condition resulting from focusing the eyes on a computer display for protracted and uninterrupted periods of time.

Some symptoms are headaches, blurred vision, neck pain, redness in the eyes, fatigue, eye strain, dry eyes, irritated eyes, double vision, vertigo/dizziness, polyopia and difficulty refocusing the eyes. These symptoms can be further aggravated by improper lighting conditions (glare or bright overhead lighting) or air moving past the eyes (overhead vents, direct air from a fan).

Computer vision syndrome affects some 90% of the people who spend three hours or more a day at a computer.

BlackBerry thumb

Overuse of the thumb to operate a mobile device may lead to BlackBerry thumb.

BlackBerry thumb is a neologism that refers to a form of repetitive strain injury caused by the frequent use of the thumbs to press buttons on PDAs, smartphones, or other mobile devices.

It is also called wiiitis, nintendinitis, playstation thumb or cellphone thumb.

Thumb lacks the dexterity that the other four fingers have. This is especially common in those who use these devices for such activities at high speeds comparable to that of touch typing.

Symptoms of BlackBerry thumb include aching and throbbing pain in the thumb or sometimes other fingers and in the wrist.

Other diseases

  • Wii Knees, Touch-Screen Finger, Text Neck, and the dreaded Smartphone Saggy Face, Phantom Vibration Syndrome.
  • Wii knees; Tenderness or soreness in the knees from excessive use of the Nintendo Wii Fit. Similar in nature to tennis elbow.
  • Saggy face (saggy jowls, double chins and “marionette lines” often develop from the angles at which people use their trendy new mobile devices. Leaning your head to hold your mobile phone in between your face and shoulder is believed to cause facial skin and muscle to lose its elasticity more quickly than normal).

HCFI and IMA suggestions to prevent and treat mobile phone addictions

  • Face book holidays: One should take a full one week face book holiday if one is suspected to have social media addiction.
  • Electronic curfew:  Everybody should have 30 minutes of electronic curfew before they sleep. (Electronic curfew means not using mobile phones and other mobile devices for 30 minutes before sleep).
  • Use mobile only when mobile.
  • Limit mobile talk time to less than 2 hours a day
  • Once the battery is discharged, call it a day for mobile use.
  • Follow the formula of “20-20-20” to prevent dry eyes: Every 20 mins, focus the eyes on an object 20 feet (6 meters) away for 20 seconds or close the eyes for 20 seconds, at least every half hour.
  • To prevent computer vision syndrome, spend less than 3 hours on a computer.
  • Using other fingers to press buttons on handheld device can prevent BlackBerry thumb.

 

One should be remain active each day of our life and not die old in old age, said Padma Shri & Dr. BC Roy National Awardee Dr. KK Aggarwal, President Heart Care Foundation of India and Vice-Chairman World Fellowship of Religions. He was delivering the key note address at Om Shanti Retreat Centre, Pataudi Road, Manesar during 10th National Summit on Stress Management and Workshop on ‘How to be Healthy and Happy’ organised by Heart Care foundation of India in association with Prajapati Brahmkumari Aishwarya Vidyalaya and World Fellowship of Religions.
In another seminar on ‘Life After Death’ organised by the Foundation at IMA House, Dr. Aggarwal in conversation with Swami Parmananda Bharati said that all hospitals and medical establishments should have both a humor room as well as a prayer room. The dead body and the dying person should both be respected as it is only the physical body which dies and not the mind, intellect, ego and soul.

The aim of life should be to continue living after one’s physical body has died and that is only possible by doing positive Karmas.

Dr. Aggarwal said that the fact that we did not get moksha or liberation in our last birth means that some sufferings still remained for us to bear and the very purpose of our present birth is to face those sufferings. We should face them with happiness and not with sorrow. By doing positive karmas, we can not only neutralize our karmas of the past birth but also the bad karmas from birth till date.

In their introductory remarks, Prof. Uma Devi, Formerly at Delhi University, and Prof. Sunil Kumar, Hindi Scholar, said that the very purpose of life is to earn righteously to perform one’s Dharma with a desire to achieve inner happiness.

 

Inaugurating a 2-day 10th national summit on Stress Management and a workshop on “How to be Healthy and Happy”, Mr. Rakesh Mehta, Election Commissioner of Delhi said that meditation should be taught as a part of our school curriculum. Yoga, pranayama and meditation, if taught early, can take care of rising problems of diabetes, heart attack and blood pressure in the society.

Speaking on the occasion, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Vice-Chairman, World Fellowship of Religions, said that by learning the Vedic lifestyle, one acquires the strength to bear any illness. Spiritual people develop disease but learn not to suffer from it. Ninety percent of happiness lies in our hands. One can choose to be happy and healthy either by making informed choices or re-experiencing the past experiences.

The seminar was organized by Heart Care Foundation of India jointly with Prajapati Brahmkumaris Aishwarya Vidyalaya, eMedinewS and World Fellowship of Religions at Om Shanti Retreat Centre, Pataudi Road, Manesar, Gurgaon.

BK Brij Mohan said that meditation and not medication is the answer for most of the lifestyle disorders. Rajyoga meditation is the answer for today’s stressful environment.

BK Asha said that even observing silence for 20 to 30 minutes a day can help one achieve inner happiness. BK Sapna present on the occasion said that meditation under a pyramid is much more powerful than under the sky.

Dr. Anil Goyal, President (Elect), Delhi Medical Association said that even doctors need to de-stress. The incidence of heart attack in doctors is no less than that in the general public. Doctors should practice what they preach.

Others who spoke on the occasion were Dr. Ramesh Hotchandani, President IMA New Delhi Branch; Dr. NK Gupta, Past Vice President, IMA South Delhi Branch; Dr. Pawan Gupta, Past President, IMA Haryana; Dr. AK Kansal, Past President, IMA, Janakpuri Branch.

Heart Care Foundation of India and World Fellowship of Religions in association with Ministry of Earth Sciences Govt. of India and Delhi Public School Mathura Road observed World Earth Day on the theme ‘Future Earth’. More than 15 schools from different parts of Delhi took part in these competitions.

The activities included a 1 km symbolic walk to sensitize the common masses on environment-related issues. More than 800 children participated in the walk led jointly by Padma Shri & Dr. BC Roy National Awardees, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA; Mr D N Singh Additional Commissioner South Municipal; Shri Ashok Chandra Chairman, DPS Society, Rear Admiral M.M Chopra Vice Chairman DPS Society, Sh. M I Hussain Principal DPS Mathura Road and Mr. K Sareen social activist.

Speaking on the occasion Dr. Aggarwal said that the time has come when society has to work in close coordination with government agencies to ensure proper disposal of man-made environment pollutants.

The other activities held included skit competitions and cultural performances by pre primary students of DPS Mathura Road. All the participants in competitions were given certificate of participations and winners the prizes.

The celebrations ended with free heart checkup and hands-only CPR training using dummy manikins on how to save a life from sudden death within 10 minutes of death, to all teachers and parents.

On behalf of Heart Care Foundation of India, Padmashri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India created a world record by training 11459 people in Hands Only CPR 10 in one day.

The event was organized at Dr. Sampoornanand Sarvodaya Kanya Vidyalaya, C-1 Yamuna Vihar to earmark World Health Day. East Delhi Mayor Dr Annapoorna Mishra was the special guest along with Dr KK Aggarwal.

CPR 10 is based on the mantra – “Within ten minutes of death (earlier the better) for the next at least ten minutes (longer the better), compress the centre of the chest of the victim with a speed of 10×10=100 per minute”.

Prior to this event, Dr. Aggarwal on behalf of the foundation has trained more than 35000 people so far. The foundation was the first one to train 11459 people in one sitting.

Over 5 people have been revived after death using CPR 10 including one attempted by a 16 year old school girl and another by a 30 year old school teacher.

Shri J.P. Aggarwal, Member of Parliament in his message said that CPR 10 should be learnt by everybody.

In the closing ceremony star celebrity Mr Sandeep Marwah released a comic on CPR 10 and said CPR 10 should be done in any patient with no response and no respiration.

Ms Rajeshwari Kapri Principal ofSKV School said that teachers are role model to the society and must pass on the message of CPR 10 to all their students and parents. Every school should use the teachers, parents meeting to pass on the message.

Dr Aggarwal said that all school children must post the CPR Mantra on their face book and twitter accounts and must pass on the mantra to their friends.

Dr D R Rai Sr National Vice President IMA, Dr Anil Goel President Elect, Dr Harish Gupta Immediate Past President DMA and Dr Ajay Lekhi, Dr V K Goel from IMA, East Delhi Branch in a joint statement said that over 24 lac people die in the country every year with sudden deaths and 18 lac of them die before reaching the hospital. 12 lac of them can be saved if CPR 10 can be taught to one percent of the society.

Ms Nalini Kamalini the duo Kathak exponents said that all stars and celebrities should pass on the CPR mantra to the society at their stage functions.

Facts about CPR 10

1. Gasping is a sign of cardiac arrest and CPR should be started in them

2. Never learn CPR on live people

3. During CPR if the ribs break do not worry

4. After successful CPR take the victim to the hospital for further testing

5. CPR should always be done on the floor or a hard bed

6. The chest should be compressed about 1 ½ inch

7. If the body temperature is below 35 degree continue CPR for longer periods (up to 25 minutes after the body temperature had been brought back to normal)

8. CPR means cardio pulmonary resuscitation (revival of the heart and lungs)

9. In electrical deaths first disconnect the electric wire before starting CPR

10. You can alternate cardiac massage on the chest after every     two minutes (two rescuers CPR 10)

Inaugurating a symposium on prayer, faith, meditation and healing, Prof. B.M. Hegde, Chairman Bhartiya Vidya Bhawan, Mangalore Kendra said that every hospital should have a prayer room where people from every religion can pray.

The symposium was organised by Heart Care Foundation of India jointly with Bhartiya Vidya Bhawan at Bhawan’s Auditorium and was participated by speakers from various religions.

Moderating the session, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India said that often doctors get request from the patients and relations either to let them pray or have the doctors pray for them or with them. There are studies which show that prayer has a positive healing effect.

Dr. Aggarwal said that both prayer and meditation shifts one from sympathetic to parasympathetic mode and helps in healing. Positive faith in doctors and drugs also has a healing effect.

In a joint statement Mr. Ashok PradhanMr. G C GarekhanMr. J Veeraraghavanfrom Bhartiya Vidya Bhawan said that spiritually religions and cultural beliefs always play significant role in the lives of patients who are seriously ill and dying. They said that the wishes of the dying patients and their relations should be respected and their spiritual needs must be taken care of.

On the subject of praying with the patients Rev. Ivan Moses said that in Christianity dying patient’s request for the healthcare professional to pray with him or her is usually honoured. If the doctor is uncomfortable with the request to pray with the patient, he or she can sit by in silence as the patient prays in the patient’s language and tradition.

Maulana Dr. Mufti Mohammad Ahmad said that in Islam doctors may pray for patients and they are encouraged to. Islam also believes that patients should not only pray for themselves but also for other fellow patients.

Prof. Sunil Kumar and Dr Nirmal Jit Singh said that in Hinduism and Sikhism there are no specific guidelines issued to physicians praying together with the patients. But both religions believe in prayers when the person is sick.

For the first time, 10000 children, teacher and parents will be trained in Cardiopulmonary Resuscitation 10 (CPR 10) in one day to commemorate World Health Day. The event will be organized on 6th April, 2013, Saturday at SKV School, Yamuna Vihar,East Delhi in association with Directorate of Education, Delhi Government. Never in history have so many people been trained in CPR in one day.

Addressing a press conference, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Vice-President (Elect) National IMA said that the Foundation has already trained more than 35000 people and over 5 lives have been saved in the last three months where the general public could save the person’s life after sudden death. A 16-year-old school girl from Birla Vidya Niketan Pushp Vihar saved her uncle and a teacher from SD Public School Pitampura saved her grandmother by doing successful CPR.

Besides hands-only CPR 10 training, on the spot competitions will also be organized like cartoon, poster, slogan and poem on the subject to sensitize teachers, parents and children, said Mr. Sandeep Marwah, Chairman, Asian Academy Film & Television Institute, Noida.

Hands-only CPR 10 is based on the mantra – “within 10 minutes of death (earlier the better), for at least next 10 minutes (longer the better), compress the chest of the victim continuously and effectively with a speed of 10×10=100 per minute.

The theme for World Health Day this year is high blood pressure. Cardiovascular disease is the number one cause of death in urbanIndiaand over 70% of deaths amongst cardiovascular deaths are linked to hypertension, said Dr. KK Aggarwal. Besides learning CPR 10, school children should also learn about good dietary habits which include, eating more fiber, less salt, zero trans fats and zero refined carbohydrate, he further added.

About HCFI : The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 31145 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute.”

In a multispecialty camp organized by Heart Care Foundation of India in association with East Delhi Walkers’ Association, over 2000 people were examined by a team of medical experts led by Padmashri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and National Vice President (Elect), India Medical Association.

Addressing a gathering of over 2000 people, Dr. Aggarwal said that everybody should walk at least 80 minutes a day and brisk walk 80 minutes in a week. Brisk walking means walking 80 steps per minute.

Dr. Aggarwal also interacted with senior heart surgeons: Dr. Sujay Shad, Dr. Rajesh Kaushar, Dr. Mubeen Mohammad, Dr. Sandeep Singh and Dr. Baldev  Sekhon.

In the discussion, the experts said that sore throat in children should not be neglected, especially if it is without cough and nasal discharge. Streptococcal sore throat can bite the heart permanently. Timely antibiotic in these patients can prevent permanent heart damage.

Interacting with other experts, Dr. Chanchal Pal, Dr. Shashi Bala, Dr. Prachi Garg, Dr. Pooja Garg, Dr. Varun Arya, Dr. Mini Mathur and Dr. NK Bhatia, Dr. Aggarwal said that it is better to get a swine flu as seasonal flu as mortality and morbidity is low. He said that prevention of flu involves respiratory hygiene, cough hygiene and hand hygiene. Respiratory hygiene means staying 3 feet away from the person who is coughing or sneezing. Cough etiquettes means not to cough in hands or handkerchief but on the side sleeves of the shirt. Hand hygiene means washing hands thoroughly with a soap and water after touching nasal secretion.

Dr. Sanjay Gupta, Sr. Orthopedic, Moolchand Medcity said that people who have joint knee problems should not use Indian latrines.

Dr. Sweta Gupta, infertility expert, said that today with advance techniques, it is possible to deliver a child in every family.

Dr. NK Bhatia, Sr. Transfusion Specialist, said that everybody can donate blood from the age of 16 to 65.

Dr Mini Mehta, Dr Nischal Gupta, Dr Saloni Tomar,  Dr Rashmi Bhaskar, Dr Chetali Jain, Dr  Rohit, Dr Gyanendra, Dr  Shelja and Dr Neeraj Gupta Homeopathic Cardiologists of India said that time has come for homeopathic doctors to specialize in cardiology and practice as homeopathic cardiologists.

Over 2000 people were trained on how to revive a dead person using the technique Hands Only Cardiopulmonary Resuscitation. The Foundation has trained over 30000 people in the last four months.

At St Mathew Public School, Paschim Vihar, New Delhi, Conducting a CPR Camp Padma Shri and Dr BC Roy National Awardee Dr. K K Aggarwal, President, Heart Care Foundation of India and National Vice President Elect IMA said that even physically and mentally challenged students can learn CPR.

Dr Aggarwal said that every chowkidaar, Security Guard, Ward Boy and helpers in Healthcare setting should be trained in CPR so that hospital can provide resuscitation right at the gate.

Mrs Anita Sethi Principal of the school said that over 400 students were trained today. She said that the Guru Dakshina which students can give is to make 10 other people  learn the CPR10 mantra –

“within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute.”

Inaugurating a daylong conference, eMedinewS Revisiting 2012, organized by eMedinewS, Heart Care Foundation of India and World Fellowship of Religions, Dr. A.K. Agarwal, President, Delhi Medical Council, said that all doctors should document their medical records, carefully, punctually and timely. He said that doctors are for patient’s safety and medical records are for doctors’ safety. He said as far as possible, doctors and medical establishments should go for electronic records so that chances of mistakes are lower.

The conference was attended by over 1000 doctors from NCR. Briefing about the conference, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & Vice President Elect IMA, said that eminent faculty participated in the conference and listed the happenings in the year 2012.

The faculty included: Dr Brig A K Dhar, Dr. AS Bath, Dr Ambrish Mithal,Dr Anil Goel, Dr Ashish Jain, Dr Deepak Khurana, Dr Ganesh Mani, Dr IM Chugh, Dr. JPS Sawhney, Dr Kaberi Banerjee, Dr Kailash Singla, Dr Manju Gupta, Dr NK Bhatia, Dr Neeraj Jain,  Dr Praveen Chandra, Dr PC Joshi, Dr Praveen Bhatia, Dr Rajnish Malhotra,Dr SK Parashar, Dr Sanjay Chaudhary, Dr Sukhendy Roy, (Maj.Gen) Dr. SK Mittal, Dr Vivek Bhatia and Dr Yugal Mishra.

Following were the highlights:

1. It is now possible to give a blood transfusion to a person without getting in any blood transfusion reaction.

2. Nobody should suffer from pain and it is possible to get rid of painkillers in 2-3 months’ time.

3. It is now possible to do an aortic valve replacement without surgery using a catheter.

4. It is now possible to save 40 lives from a brain dead donor.

5. Intestinal transplant is now possible in the country.

6. If you have one ova and one sperm, fertility is now possible.

7. Midline incision in the chest is no more required for bypass surgery and for valvular surgery.

8. It is now possible to combine the bypass surgery with stent angioplasty in one sitting and give better results to the patients.

9. It is now possible to do cataract surgery practically without stitches and with near normal vision without spectacles.

10. It is now possible to do surgery in very high obesity using a robot both in adult and in children successfully.

11. With capsule endoscopy it is now possible to examine small intestine of a patient.

Doctor of the year awards were also distributed and the recipients included:

Dr. Ramesh Kumar Bapna, Dr. Harish Gupta, Dr. Narender Saini, Dr. (Maj. Gen.) AS Bath, Dr. JPS Sawhney, Dr. SM Chugh, Dr. Naveen Tuli, Dr KS Bhagotia, Dr Sukrit Sharma, Dr SK Mittal and Dr AK Bansal

eMedinewS and Heart Care Foundation of India will be organizing a daylong conference on 20th January, 2013 at Maulana Azad Medical College and will be attended by over 1000 doctors. The conference will revisit the happenings of the year 2012.

Addressing a press conference here Padmashri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, Group Editor-in-Chief eMedinewS and President Heart Care Foundation of India and Vice President Elect IMA, Dr Ganesh Mani, Dr Ashish Jain, Dr. Vivek Bhatia, Dr. Praveen Bhatia, Dr Yugal Mishra, Dr. N.K.Bhatia, Dr. Neeraj Jain, Dr Kailash Singla, Dr Kaberi Banergee and Dr. Praveen Chandra, in a joint statement said that a lot has changed in the last one year. Following were a few of the new advancements:

1. The new mantra for Cardiopulmonary Resuscitation (CPR10) – Over 25000 people in the city ofDelhialone have been trained in CPR10 to revive people out of sudden death. The mantra created by Dr. KK Aggarwal simplifies the course of action to be taken by people – “within 10 minutes of death (earlier the better), at least for the next 10 minutes (longer the better – upto 25 minutes), compress the centre of the chest of the victim effectively and continuously with a speed of 10×10 i.e. 100 per minutes”.

2. For patients whose blood pressure is not getting under control, new treatment is denervation of the nerves connected to the kidney.

3. For suspected rheumatic heart diseases, echo screening and not clinical screening is the answer.

4. Bypass surgery is better than drug quoted stents in patients with diabetes.

5. Pre-exposure prophylaxes with tenofvir and emtricitadine is now an established way of preventing HIV in high risk individuals.

6. New guidelines suggest that all patients of HIV+ should be treated regardless of CD4 T cells count.

7. Bacterial nasal sinusitis needs to be treated by anti-biotic and should be differentiated from viral nasal sinusitis.

8. In patients over the age of 70 years being treated with enema for constipation, one should use warm water enema rather than sodium phosphate enema.

9. In women of 65 years of age and older with a normal or slightly low bone mass at baseline measurement and with no risk factors of accelerated bone loss, follow-up bone densitometry should be done between 10-15 years.

10. Patients with high cholesterol on statin no more require monitoring of liver functions. They should be done only at baseline and not thereafter

11. Patients of depression on citalopriam should not be given a dose more than 40 mg and in 60+, it should not be more than 20mg.

12. Bio-absorbable polymers stent are now available inIndia.

13. Without surgery aortic valve replacement via catheter has now started inIndia.

14. Small intestinal transplant has been added to the list of transplant in the country.

15. Recently, a patient fromDelhiwho was brain dead donated his organs to 37 people.

16. A circular from Ministry of Health and Family Welfare has clarified that under the PNDT Act, medical practitioners with post graduation in gynecology and obstetrics are qualified to do obstetric ultrasound.

17. Suspect bacterial infection if:

a. Persistent symptoms or signs lasting more than 10 days with no improvement.

b. Onset with fever of more than 102 degree and purulent nasal discharge lasting three consecutive days.

c. Onset with worsening symptoms following a viral URI lasting 5-6 days which was initially improving.

Mr Gursharan Singh former Indian Cricketer was the special guest of the day.

The conference will be followed by ‘Doctor of the year’ awards and cultural evening.


Heart Care Foundation of India today trained 984 students at S D Public School, Pitampura in CPR 10, the hands-only cardiopulmonary resuscitation technique.

Elaborating on this, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India said that for the first time a 90-year-old retired Joint Director from the Directorate of Education, Shri S N Sharma, learned hands-only CPR 10.

The campaign was inaugurated by Chairman of S D Public School Dr Sushil Gupta, Vice Chairman Sh. Kanwar Bhan Goel. Others who participated were Ms Anita Sharma, Principal  & Ms Rekha Gupta. Mr. Gupta said that learning and passing on knowledge about CPR 10 is the best gift one can give to others.

Dr. Aggarwal also said that one should learn and educate at least 10 people about CPR 10. He further cautioned that CPR practical training should be done only on dummies and not on each other. The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute.”

So far the foundation has trained 21845 people.

CPR 10 has been endorsed by many distinguished celebrities: Dr. Deepak Chopra, the New age Guru and noted author; Mr. Sushil Shinde, Union Home Minister; Smt. Sheila Dikshit, Chief Minister of Delhi; Shri A K Walia, Health Minister of Delhi; Prof. Kiran Walia, Education Minister of Delhi; noted poet Ashok Chakradhar; noted dancers Nalini, Kamalini, Uma Sharma; film star Poonam Jhawar and most top cardiologists of India.